| NPI | 1750540480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN RABURN Owner 505-793-5547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NM 96388) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-07-01 |